LYDIA R JENKINS (NPI# 1811409899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811409899 |
| Entity Type | Individual |
| Full Name | LYDIA R JENKINS |
| Credential | CDCA |
| Practice Address |
15221 St. Rt. 124 Piketon OH 45661 |
| Mailing Address |
3509 State Route 522 Wheelersburg OH 45694-8542 |
| Practice Telephone | 7409611295 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.167760 | OH | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
QMHS | OH | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | CMS | OH | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4578 Gallia Pike, Franklin Furnace, OH 45629 | 7403546685 | 7405321715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689012916 | Lydia Jenkins | Pediatrics | 7720 E Calle Del Minique, Tucson, AZ 85750-7055 | 2013-06-09 |
| 1598252488 | Lydia Allyson Jenkins | Behavior Technician | 1337 Howe Ave Ste 107, Sacramento, CA 95825-3305 | 2018-04-17 |
| 1679830616 | Lydia Jenkins | Massage Therapist | 3975 State Highway 6 S, Suite 700, College Station, TX 77845 | 2012-04-16 |
| 1225336944 | Lydia Letice Jenkins | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-03-03 |
| Street Address |
15221 ST. RT. 124 |
| City | PIKETON |
| State | OH |
| Zip Code | 45661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649882028 | Quest Diagnostics | Clinical Medical Laboratory | 7777 St Rt 23, Ste A, Piketon, OH 45661 | 2020-08-18 |
| 1497303614 | Johnny Conley | Counselor | 15521 State Route 772, Piketon, OH 45661 | 2019-08-30 |
| 1538657622 | Brewsters Hometown Pharmacy LLC | Pharmacy | 104 Thornton Dr, Piketon, OH 45661 | 2018-04-25 |
| 1891208344 | Penny Moore | Counselor | 2266 Wakefield Mound Rd, Piketon, OH 45661 | 2017-11-07 |
| 1205349891 | Amanda Riggs | Counselor | 15221 State Route 124, Piketon, OH 45661 | 2017-11-06 |
| 1912443730 | Lee Adams | Counselor | 15221 St Rt 124, Piketon, OH 45661 | 2017-01-18 |
| 1558729806 | Pleasant Hill Leasing, LLC | Skilled Nursing Facility | 7143 Us Route 23 South, Piketon, OH 45661 | 2016-02-02 |
| 1750758892 | David Conley | Nurse Practitioner | 418 Skyline Dr, Piketon, OH 45661 | 2015-08-24 |
| 1558597724 | Sarah E. Williams | Dental Hygienist | 7777 U.S. Route 23, Piketon, OH 45661 | 2009-06-02 |
| 1205073327 | Pike Co | Ambulance | 109 Oliver Street, Piketon, OH 45661 | 2009-01-12 |
| Find all providers in zip 45661 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303614 | Johnny Conley | Counselor | 15521 State Route 772, Piketon, OH 45661 | 2019-08-30 |
| 1891208344 | Penny Moore | Counselor | 2266 Wakefield Mound Rd, Piketon, OH 45661 | 2017-11-07 |
| 1205349891 | Amanda Riggs | Counselor | 15221 State Route 124, Piketon, OH 45661 | 2017-11-06 |
| 1205355393 | Michelle Rana Colley | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2017-09-11 |
| 1912443730 | Lee Adams | Counselor | 15221 St Rt 124, Piketon, OH 45661 | 2017-01-18 |
| 1255946554 | Robert Hurles | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2020-09-14 |
| 1114550050 | Benjamin Glispie | Counselor | 15221 St Rt 124, Piketon, OH 45661 | 2020-02-19 |
| 1366089302 | Amber Self | Counselor | 15221 St Rt 124, Piketon, OH 45661 | 2019-12-10 |
| 1053957878 | David Bryan Porter Jr. | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2019-11-27 |
| 1740826890 | Mason Conley | Counselor | 15221 State Route 772, Piketon, OH 45661-9062 | 2019-11-25 |
| Find all providers in PIKETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.